Organization
SMOOTH SURGICAL STAFFING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LEE HARDIN JR. CSFA (CEO)
(832) 330-1508
Entity
Organization
Contact information
Practice address
260 EL DORADO, 1507, WEBSTER, TX 77598
(832) 330-1508
Mailing address
PO BOX 20603, HOUSTON, TX 77225-0603
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699133595
INDIVIDUAL NPI
TX
Enumeration date
08/22/2017
Last updated
08/22/2017
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